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	Welcome to Hands On Charlotte!

Welcome to the Hands On Charlotte Member Registration.

Use the form below to register as a volunteer for Hands On Charlotte projects, courses, and special events.

* denotes a required field

Member Registration Form

First Name *
Last Name *
Date of Birth *
	mm/dd/yyyy
We require date of birth for verification of eligibility with affiliate projects/activities and for demographic reporting for funders.

Mailing Address *
Address Line 1 *
Address Line 2
City *
State *
Zip code *
Region

Main Phone Number *		Type*
Other Phone Number		Type

Place of Employment

Your login information will be:

Email Type *

E-mail Address *

Re-Enter E-mail Address*

Password *

Re-Enter Password *

Please email me the electronic calendar.

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Click here if you have a disability.

Gender

Race

Education Level

Marital Status

How did you hear about us?

	Company/Organization			Friend/Co-worker
	Hands On Charlotte Day			Hands On Charlotte Website
	House of Worship/Civic Group			School
	Magazine/Newspaper			Radio
	Television			Internet - General
	Other

Availability

	Weekdays (Monday - Friday)
	Weeknights (Monday - Friday)
	Weekends (Saturday - Sunday)
	Weekdays & Weekends
	Weeknights & Weekends
	All / Anytime
	I am available to work on short notice for important volunteer needs

Terms and Conditions

VOLUNTEER TERMS AND CONDITIONS

I, the undersigned, wish to volunteer my services to various community service organizations and projects through you, Hands On Charlotte, ("HOC"), a not for profit organization.  In consideration for allowing me to participate in HOC projects, and in consideration of HOC's locating, arranging, coordinating and/or making available volunteer opportunities, I hereby agree and release HOC as follows:

I acknowledge and agree that the nature of the volunteer services which are typically performed by HOC volunteers, and which may be performed by me as a HOC volunteer, may involve (a) physical activity (including without limitation work with heavy tools and materials), (b) contact with unidentified and unfamiliar persons, (c) travel to and from various unspecified locations, and (d) other potential risk of injury.  Notwithstanding the preceding sentence, I willingly and freely agree to volunteer and hereby assume any and all risk in connection with my volunteer efforts or participation, including without limitation risk of any accident or injury to person or property which I may sustain in connection with my participation as a HOC volunteer or in any HOC related project or activity.  In addition to the foregoing, I will only participate in HOC activities and projects that I am physically capable of participation without risk of injury to myself.

I hereby acknowledge that HOC is an organization involved in assisting organizations and associations which may from time to time be involved with child care and related matters.  I hereby confirm, represent and warrant that I have never been convicted of a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or sexual offense, or any other violation of law, nor have I ever been ordered by a court to receive psychiatric or psychological treatment in connection therewith.

I hereby release HOC and its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates from, and covenant not to sue for, any and all claims and causes of action, whether known or unknown, arising out of, based upon or relating to my participation as a HOC volunteer or in any HOC related activity or project, including, without limitation, any negligence of HOC, its officers, directors, partners, employees, agents, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates.  Furthermore, to the extent I utilize my own vehicle for transportation or other purposes in connection with a HOC project or activity, I hereby represent and warrant that I am, and the vehicle is, fully insured to the extent required by law.

I hereby agree to indemnify and hold HOC, its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates harmless against any and all liabilities, claims, actions, damages, losses, judgments, fines, deficiencies, injuries, suits and proceedings at law or in equity, costs, or any other expense, fee or charge of any character or nature through all levels of appeal and any amounts paid in settlement of the foregoing which may be imposed upon, incurred or threatened by or upon HOC (or any related party as referenced above) or any of its property in respect to, or arising out of, my participation as a HOC volunteer or in any HOC related project or activity.

I further irrevocably grant to HOC, its assigns and successors, my consent and full right to: use my name, photograph, likeness, image, voice and biography in any and all media, publications, advertising, and publicity, in connection with my participation with HOC and any HOC related activity or project.

This release shall inure to the benefit of HOC and its successors, licensees, agents, employees, affiliates and assigns.  This release shall be governed by the laws of the State of North Carolina.

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